Johnson, Charmaine S
Johnson, Charmaine S is an individual health care provider with primary practice located at 260 W Sunrise Hwy Suite 200, Valley Stream NY 11581-1011. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Johnson, Charmaine S can be contacted via phone (516) 825-3600.Contact Information
Primary practice address
260 W Sunrise Hwy Suite 200
Valley Stream NY 11581-1011
Phone: (516) 825-3600
Fax: (516) 823-2051
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2337611 | New York |
Profile Details
| NPI number | 1366492183 |
|---|---|
| LBN Legal business name | Johnson, Charmaine S |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | Sep 13th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366492183 | NPPES |
| New York | MEDICAID | 02661714 |
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